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ANTHONY JAMES SWENSON CNP
NPI 1861866337
Nurse Practitioner - Family in Red Wing, MN

Active since November 21, 2015PECOS EnrolledAccepts Medicare Assignment
701 HEWITT BLVD, RED WING, MN 55066(651) 267-5000 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2020, Nov 21, 2015 (2 updates tracked since 2015).

About Anthony James Swenson Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY JAMES SWENSON CNP (NPI 1861866337) is an individual family provider in Red Wing, Minnesota, licensed in Minnesota (CNP 4281) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861866337
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANTHONY JAMES SWENSONCredential: CNP
Location Address701 HEWITT BLVDRed Wing, MN 55066-2848
Mailing Address701 Hewitt BlvdRed Wing, MN 55066-2848 · (651) 267-5000
Phone(651) 267-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 21, 2015
Last NPPES UpdateOctober 6, 20202 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1861866337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · CNP 4281
701 HEWITT BLVD, Red Wing, MN 55066
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony James Swenson Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547561300
PECOS Enrollment IDI20151221000888
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Anthony Swenson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Health System-Southeast Minnesota Region
3.2 mi
Multi-Specialty
701 HEWITT BLVD
Red Wing, MN 55066
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,571 clinicians in this Medicare group
NPI 1114453883 (651) 267-5000
Mayo Clinic Health System-Lake City
16 mi
Critical Access
500 W GRANT ST
Lake City, MN 55041
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1164463659 (Minnesota)
  • 675 clinicians in this Medicare group
NPI 1538113022 (651) 345-3321
Mayo Clinic Health System-Southwest Minnesota Region
49 mi
Critical Access
301 2ND STREET NE
New Prague, MN 56071
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1477089407 (Minnesota), NPI 1740256668 (Minnesota)
  • 639 clinicians in this Medicare group
NPI 1124035282 (952) 758-4431
Mayo Clinic Health System-St James
108 mi
Critical Access
1101 MOULTON AND PARSONS DR
Saint James, MN 56081
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1023177730 (Minnesota)
  • 390 clinicians in this Medicare group
NPI 1639198732 (507) 375-3261
Mayo Clinic Health System-Fairmont
113 mi
Multi-Specialty
800 MEDICAL CENTER DR
Fairmont, MN 56031
  • Reassigned Medicare billing, Minnesota enrollment
  • 806 clinicians in this Medicare group
NPI 1366410862 (507) 238-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
64 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
43 services31 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
28 services28 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240010
Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County
Emergency services Birthing friendly

Mayo Clinic Health System In Red Wing

Acute Care Hospitals · Red Wing, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240018
Location701 Hewitt BoulevardRed Wing, MN 55066 · Goodhue County
Emergency services Birthing friendly

Mayo Clinic Health System - Albert Lea And Austin

Acute Care Hospitals · Albert Lea, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240043
Location404 West Fountain StreetAlbert Lea, MN 56007 · Freeborn County
Emergency services Birthing friendly

Mayo Clinic Health System - Cannon Falls

Critical Access Hospitals · Cannon Falls, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241346
Location32021 County 24 BoulevardCannon Falls, MN 55009 · Goodhue County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$17.02 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims16 services$8.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers20 claims20 services$86.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOUGLAS STEVEN LARSEN PA-C
Physician Assistant
701 HEWITT BLVD
RED WING, MN 55066
Goodhue County (651) 267-5000
MEGAN LYNN KINDOM MD
Family Medicine
701 HEWITT BLVD
RED WING, MN 55066
Goodhue County (651) 267-5000
DR. GREGORY A ERICKSON MD
Orthopaedic Surgery
701 HEWITT BLVD
RED WING, MN 55066
Goodhue County (651) 267-5000
MR. CHAD LARRY HANSON MD
Radiology (Diagnostic Radiology)
701 HEWITT BLVD
RED WING, MN 55066
Goodhue County (651) 267-5000
CARRIE WOJICK MD
Family Medicine
701 HEWITT BLVD
RED WING, MN 55066
Goodhue County (651) 267-5000
LORI COPEMAN OT
Occupational Therapist
701 HEWITT BLVD
RED WING, MN 55066
Goodhue County (651) 267-5000
PATRICIA ANN FENSTERMACHER ARNP
Nurse Practitioner
701 HEWITT BLVD
RED WING, MN 55066
Goodhue County (651) 267-5000
DR. JAWAAD HASSAN M.D.
Radiology (Diagnostic Radiology)
701 HEWITT BLVD
RED WING, MN 55066
Goodhue County (651) 267-5250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Swenson's NPI number?

The NPI number for Anthony Swenson is 1861866337. It was assigned to this individual provider in the NPPES registry on November 21, 2015.

Where is Anthony Swenson located?

Anthony Swenson practices at 701 Hewitt Blvd, Red Wing, MN 55066. The listed phone number is (651) 267-5000.

What is Anthony Swenson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Anthony Swenson enrolled in Medicare?

Yes. Anthony Swenson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Anthony Swenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Swenson reassigns Medicare benefits to 5 organizations: Mayo Clinic Health System-Southeast Minnesota Region (Red Wing, MN), Mayo Clinic Health System-Lake City (Lake City, MN), Mayo Clinic Health System-Southwest Minnesota Region (New Prague, MN), Mayo Clinic Health System-St James (Saint James, MN) and Mayo Clinic Health System-Fairmont (Fairmont, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Swenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Swenson accept?

Health plans from Sanford Health Plan list Anthony Swenson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anthony Swenson affiliated with any hospitals?

According to CMS data, Anthony Swenson is affiliated with Mayo Clinic Hospital Rochester, Mayo Clinic Health System In Red Wing, Mayo Clinic Health System - Albert Lea And Austin and Mayo Clinic Health System - Cannon Falls.

When was this NPI record last updated?

The NPPES record for Anthony Swenson was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.